Hospital Costs > In New York > Woman's Christian Association, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 121 | 395 / 71 | $19.325,10 | 234 / 24 | $10.650,80 | 388 / 7 | $9.329,91 | 388 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 78 | 486 / 63 | $30.179,50 | 229 / 26 | $12.253,20 | 851 / 7 | $10.830,40 | 837 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 43 | $11.638,80 | 125 / 12 | $6.605,90 | 1248 / 13 | $5.924,10 | 1243 / 24 |
Pulmonary Edema & Respiratory Failure | 60 | 143 / 15 | $13.132,30 | 75 / 6 | $7.566,47 | 571 / 9 | $6.414,20 | 571 / 9 |
Heart Failure & Shock W Mcc | 59 | 225 / 49 | $16.065,50 | 200 / 15 | $8.790,24 | 787 / 8 | $8.035,25 | 787 / 10 |
Heart Failure & Shock W Cc | 52 | 226 / 59 | $10.921,00 | 188 / 17 | $6.243,79 | 1085 / 22 | $5.360,10 | 1083 / 19 |
Cellulitis W/O Mcc | 48 | 141 / 51 | $8.964,77 | 160 / 14 | $5.434,21 | 1377 / 17 | $4.604,21 | 1371 / 30 |
Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 45 | $11.037,80 | 180 / 16 | $6.125,83 | 1159 / 18 | $5.201,23 | 1155 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 69 | $9.171,75 | 158 / 14 | $4.999,07 | 1345 / 20 | $4.005,95 | 1334 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 57 | $8.277,37 | 166 / 10 | $5.044,29 | 892 / 42 | $3.571,09 | 889 / 17 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 43 | $10.246,40 | 114 / 7 | $5.895,14 | 1010 / 18 | $4.962,57 | 1007 / 19 |
Renal Failure W Cc | 32 | 189 / 55 | $10.195,10 | 108 / 10 | $6.053,75 | 1108 / 15 | $5.300,00 | 1100 / 17 |
G.I. Hemorrhage W Cc | 29 | 189 / 60 | $12.536,30 | 137 / 13 | $6.314,34 | 818 / 18 | $5.192,14 | 816 / 14 |
Red Blood Cell Disorders W/O Mcc | 27 | 116 / 49 | $12.547,80 | 248 / 13 | $5.247,63 | 926 / 13 | $4.438,15 | 920 / 20 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 36 | $8.663,33 | 163 / 13 | $4.565,63 | 884 / 16 | $3.625,78 | 878 / 15 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 49 | $33.744,50 | 372 / 32 | $11.760,20 | 835 / 14 | $10.669,00 | 825 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 77 | $8.265,74 | 138 / 8 | $5.157,05 | 954 / 22 | $3.926,21 | 947 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 54 | $10.533,20 | 31 / 2 | $6.754,67 | 493 / 15 | $5.216,61 | 492 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 38 | $8.872,88 | 141 / 13 | $4.798,53 | 1246 / 19 | $4.011,71 | 1237 / 33 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 47 | $15.986,60 | 73 / 8 | $9.297,56 | 232 / 6 | $8.387,56 | 232 / 5 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 16 | 33 / 18 | $5.693,94 | 32 / 2 | $3.435,38 | 38 / 2 | $3.059,38 | 37 / 7 |
G.I. Obstruction W Cc | 16 | 76 / 30 | $9.863,94 | 52 / 4 | $5.811,62 | 603 / 17 | $4.585,88 | 602 / 17 |
Seizures W/O Mcc | 16 | 92 / 43 | $9.687,56 | 61 / 5 | $4.977,19 | 506 / 5 | $4.069,19 | 503 / 9 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 30 | $14.821,60 | 98 / 8 | $8.408,38 | 688 / 10 | $7.734,38 | 683 / 18 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 23 | $7.298,38 | 45 / 4 | $4.497,31 | 596 / 21 | $3.073,50 | 595 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 59 | $18.795,30 | 313 / 22 | $8.656,62 | 888 / 12 | $7.748,62 | 888 / 13 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 32 | $13.403,00 | 83 / 7 | $5.984,06 | 284 / 3 | $5.107,19 | 284 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 44 | $13.457,90 | 77 / 9 | $7.193,00 | 451 / 4 | $6.289,00 | 448 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 71 | $13.262,70 | 198 / 13 | $7.182,87 | 967 / 11 | $6.214,33 | 962 / 14 |
Renal Failure W Mcc | 14 | 181 / 56 | $18.049,30 | 158 / 9 | $9.542,29 | 224 / 7 | $7.584,57 | 224 / 3 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 14 | 61 / 23 | $16.919,20 | 38 / 5 | $7.291,79 | 24 / 1 | $6.862,07 | 24 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 56 | $10.405,50 | 131 / 10 | $5.187,50 | 1035 / 14 | $4.330,36 | 1031 / 21 |
Transient Ischemia | 13 | 112 / 43 | $8.120,92 | 35 / 1 | $4.783,46 | 717 / 14 | $3.605,92 | 713 / 15 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 59 | $8.914,69 | 229 / 19 | $3.962,77 | 1350 / 23 | $3.226,77 | 1345 / 51 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 19 | $9.205,92 | 40 / 2 | $4.868,62 | 580 / 5 | $4.590,46 | 576 / 19 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 23 | $6.814,58 | 17 / 1 | $4.585,17 | 304 / 3 | $3.481,17 | 305 / 3 |
Syncope & Collapse | 12 | 157 / 73 | $10.860,00 | 137 / 10 | $5.447,17 | 793 / 33 | $3.842,33 | 789 / 14 |
Chest Pain | 12 | 139 / 61 | $8.032,83 | 74 / 3 | $4.219,67 | 680 / 9 | $3.113,00 | 675 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 25 | $9.047,64 | 11 / 1 | $6.894,27 | 251 / 2 | $6.012,82 | 250 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 45 | $19.042,50 | 84 / 7 | $6.750,82 | 567 / 5 | $5.540,64 | 565 / 7 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 24 | $6.747,27 | 17 / 1 | $4.334,82 | 468 / 4 | $3.785,00 | 467 / 12 | Total 41 procedures | 1.139 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.